Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Unspecified periodontal proc
Salem, OR
See all hospitals reporting HCPCS D4999 →Price type
Salem Hospital’s median price of $411 is 59% above the median hospital's median price ($258), higher than 86% of the 566 hospitals reporting HCPCS D4999. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 4 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Kaiser medicare managed care plan fee schedule · outpatient | $279 | $279 | — | — | — | $279 – $279 |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $290 | $290 | — | — | — | $290 – $290 |
| 3 | Kaiser oebb other commercial plan fee schedule · outpatient | $527 | $527 | — | — | — | $527 – $527 |
| 4 | Kaiser all commercial plans fee schedule · outpatient | $848 | $848 | — | — | — | $848 – $848 |
Last updated: Apr 1, 2026
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